Evidence map›Paper›PMID 41572306›Full record

ArticleRespiratory research2026

Recombinant SARS-Cov-2 spike protein S1 subunit upregulates P2 × 7-NLRP3 leading to macrophage pyroptosis promoting acute lung injury.

Manlu Lu, Mingzhen Li, Huijie Zhou, Jiwei Zhu, Qianqian Jiao, Xiaojing Liu, Jinglin Wu, Guogang Xu, Changjun Lv, Yichu Fan and 2 more

Abstract read
In one paragraph

Article in Respiratory research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Manlu Lu *Department of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Mingzhen Li *Department of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Huijie Zhou *Department of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Jiwei ZhuDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Qianqian JiaoDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Xiaojing LiuDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Jinglin WuDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Guogang XuThe Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
Changjun LvDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China.
Yichu FanDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China. 740723475@qq.com.
Bin ZhangDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China. zhangbin19840531@163.com.
Lei PanDepartment of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou, 256603, China. zypl781102@163.com.

Funding

Province Medical and Health Science and Technology Project 202401060833Research Project on COVID-19 Prevention and Control of Binzhou Medical University BY2021XGFY05Science and Technology Innovation Project of Binzhou Social Development 2023SHFZ033
6 · The paper itself

Abstract

backgroundOur previous study confirmed recombinant SARS-CoV-2 spike protein subunit S1 (S1SP) independently induces acute lung injury (ALI), but its mechanism remains unclear. This study thoroughly investigates the role of the purinergic receptor P2 × 7 and its downstream NLRP3 inflammasome in S1SP-induced lung injury.

methodsS1SP was used to intervene in humanized K18-hACE2 mice and THP-1 cells. In vivo, mice were divided into Control, S1SP, S1SP + MCC950 (NLRP3 inhibitor), S1SP + A438079 (P2 × 7 antagonist) and their respective control groups to study the effect of S1SP on NLRP3 inflammasome in mouse lung tissues. In vitro, THP-1-derived macrophages were grouped as Control, S1SP + ATP, S1SP + ATP A438079 and A438079 control groups. qRT-PCR was used to measure NLRP3, Caspase-1 and P2 × 7 mRNA levels. Immunofluorescence and western blot detected related proteins, and ELISA measured IL-1β and IL-18 levels in bronchoalveolar lavage fluid (BALF).

resultsS1SP caused severe lung injury, edema, and elevated ATP in BALF. NF-κB and NLRP3 inflammasome activation led to increased TNF-α, IL-6, and Gasdermin D N-terminal fragment (GSDMD-NT) (p < 0.05). NLRP3 and P2 × 7 co-localized with macrophages, indicating their central role. MCC950 or A438079 reduced tissue damage, restored tight junction integrity, and suppressed IL-1β/IL-18 release. In vitro, S1SP + ATP co-stimulation upregulated P2 × 7 and NLRP3 activity in macrophages, exacerbating pyroptosis and cytokine release.

conclusionP2 × 7 receptor mediates the occurrence of cellular pyroptosis in macrophages through the upregulation of its downstream NLRP3 inflammasome activity, contributing to the expression and release of inflammatory factors, which in turn promotes the onset and progression of S1SP-induced ALI.

Indexed as

Acute Lung InjuryMacrophagesNLR Family, Pyrin Domain-Containing 3 ProteinPyroptosisSpike Glycoprotein, CoronavirusAnimalsHumansMaleMiceRecombinant ProteinsTHP-1 CellsUp-RegulationNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, mouseRecombinant ProteinsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Acute lung injuryInflammasomePurinergic receptorPyroptosisSARS-CoV-2

Identifiers

PMID41572306
PMCPMC12911190

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.